Tuberculosis presenting with necrotic retroperitoneal lymphadenopathy in an immunocompetent patient: A case report and literature review
Necrotic retroperitoneal lymphadenopathy is an uncommon manifestation of TB that can mimic malignancy. In patients from TB-endemic settings, TB should remain high in the differential when CT demonstrates necrotic retroperitoneal nodes. Early image-guided biopsy with mycobacterial testing is decisive. Drug-susceptible disease generally responds to standard six-month therapy, although extended treatment may be warranted for delayed radiologic response.
Authors
- Takaaki Kobayashi (ORCID: https://orcid.org/0000-0003-4751-6859)
- Jorge Alave (ORCID: https://orcid.org/0000-0002-1178-2445)
- Xossé Carreras (ORCID: https://orcid.org/0000-0002-6161-217X)
- Andrea S. Salcedo (ORCID: https://orcid.org/0000-0003-1773-4812)
- Nelson Diaz (ORCID: https://orcid.org/0000-0002-7833-2852)
Institutions
- Peruvian University of Applied Sciences (PE)
- University of Kentucky (US)
- Good Hope Hospital (GB)
- Universidad Peruana Unión (PE)
Publication Details
- Journal
- IDCases
- Published
- 2025-12-07
- DOI
- https://doi.org/10.1016/j.idcr.2025.e02455
- Primary Topic
- Diagnosis and treatment of tuberculosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00